Active NPI
Dr Smrithi-Ann Franco Chakkalakal
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1366053449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- DR SMRITHI-ANN FRANCO CHAKKALAKAL
- Practice address
- 2500 W Bradley PL Ste 100
Chicago, IL 60618-4716 - Phone
- (773) 649-0759
- NPI assigned
- Aug 12, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Smrithi Ann Chakkalakal, MD
- Title
- Owner
- Phone
- (773) 649-0759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2500 W Bradley PL Ste 100
Chicago, IL 60618-4716
Mailing address
2500 W Bradley PL Ste 100
Chicago, IL 60618-4716
Phone (773) 649-0759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14666200 | Other | CAQH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1013379155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1366053449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184716",
"telephone_number": "773-649-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W BRADLEY PL STE 100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606184716",
"telephone_number": "773-649-0759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR SMRITHI-ANN FRANCO CHAKKALAKAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-12",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "CHAKKALAKAL",
"authorized_official_first_name": "SMRITHI ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-649-0759",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14666200",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.